How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,862.09 | Facility | None | $1,412.54 | $1,412.54 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $7.24 Typical High $7.24 | Professional | None | $6.61 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.31 Median $3.63 Typical High $3.63 | Professional | 52 · Reduced service | $3.31 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.45 Typical High $1.45 | Professional | 53 · Discontinued | $1.32 | $1.45 | $1.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.10 Typical High $1.10 | Professional | 55 · Aftercare only | $1.00 | $1.10 | $1.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.66 Median $0.72 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.66 | $0.72 | $0.72 |
AmeriHealth Setting Professional Modifier None Typical Low $40.74 Median $42.66 Typical High $52.48 | Professional | None | $40.74 | $42.66 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $147.91 Typical High $162.18 | Professional | None | $89.13 | $147.91 | $162.18 |
Emblem Health Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Independence Blue Cross Setting Professional Modifier None Typical Low $40.74 Median $42.66 Typical High $52.48 | Professional | None | $40.74 | $42.66 | $52.48 |
Martin's Point Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 52 · Reduced service | $3.63 | $3.63 | $3.63 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | 53 · Discontinued | $1.45 | $1.45 | $1.45 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | 55 · Aftercare only | $1.10 | $1.10 | $1.10 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $0.72 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.72 | $0.72 | $0.72 |
Oscar Health Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
United Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $67.61 | Professional | None | $54.95 | $60.26 | $67.61 |
Where Pennsylvania sits
The same service costs 125892.5 times more in Massachusetts than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 44th of 51
$7.24
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.